Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $8,496.98 / $8,496.98	Facility		$1,400.00	$8,496.98	$8,496.98
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $881.85 / $881.85 / $881.85	Facility	54	$881.85	$881.85	$881.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $992.21 / $1,175.80 / $1,906.93	Professional		$992.21	$1,175.80	$1,906.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,219.57 / $1,328.63 / $1,447.55	Facility		$1,219.57	$1,328.63	$1,447.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,121.83 / $1,217.91 / $1,439.35	Professional		$1,121.83	$1,217.91	$1,439.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,311.10 / $1,311.10 / $1,311.10	Facility		$1,311.10	$1,311.10	$1,311.10
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $913.68 / $913.68 / $913.68	Facility	54	$913.68	$913.68	$913.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,056.07 / $1,480.34 / $5,464.63	Professional		$1,056.07	$1,480.34	$5,464.63
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,674.18 / $13,674.18 / $13,674.18	Facility		$13,674.18	$13,674.18	$13,674.18
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,768.36 / $1,768.36 / $1,768.36	Professional		$1,768.36	$1,768.36	$1,768.36
United Facility/Professional Professional Modifier Low / Median / High Price $879.86 / $1,227.51 / $1,738.38	Professional		$879.86	$1,227.51	$1,738.38